Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 02276 | Date 20/07/2022 |
| Token No | SM/22-23/1469 20/07/2022 | Serial | 006 |
| Patient Name | Mrs. GITA LAL | Contact No | 9163003251 |
| Address | 2 NO RAJYADHARPUR GOVT QUARTER SERAMPORE 712203 | Age | 40 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||